| NPI | 1356895601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TN 199437) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: TN 199437) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |