| NPI | 1295006971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 223058) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 475210-1) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2014-06-10 |