| NPI | 1235744905 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NE 68097)  | 
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: MT 68097)  | 
| Enumeration Date | 2020-09-10 | 
| Last Update Date | 2020-09-10 |