| NPI | 1245224260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 80191-030) |
| Additional Taxonomies | 246YR1600X Spec/Tech, Health Info, Registered Record Administrator (Licence: 0476220) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2007-07-09 |