| NPI | 1295199578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: RI RN37876) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E47499) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |