| NPI | 1356693592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NC 225669) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 225669) |
| 163WA2000X Registered Nurse, Administrator (Licence: NC 225669) | |
| 163WE0003X Registered Nurse, Emergency (Licence: NC 225669) | |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |