| NPI | 1396896353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NC 263705) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD lp41443) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-05-23 |