| NPI | 1316476625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 220611) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: AL 2-051953) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |