| NPI | 1295130540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 1236000890) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA rn2288764) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2024-08-21 |