| NPI | 1235128836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: HI 56824) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MD R165628) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2007-07-08 |