| NPI | 1376830703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001192840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN251153) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |