| NPI | 1316145246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA Rn560296) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001135415) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-07-08 |