| NPI | 1194757351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9181750) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL ARNP9181750) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |