| NPI | 1255406021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MT RN10653) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: SC R24970) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |