| NPI | 1255542270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 195840) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NC 195840) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: NC 195840) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |