| NPI | 1215218458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA 134645) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-070025) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |