| NPI | 1396930996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NM R55917) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R55917) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2011-09-27 |