| NPI | 1255756540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NM RN88051) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NM DH3173) |
| 163W00000X Registered Nurse (Licence: NM NM-88051) | |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2021-11-17 |