| NPI | 1316902059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL ARNP1577642) |
| Additional Taxonomies | 247100000X Radiologic Technologist (Licence: FL BMO52400) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2015-05-05 |