| NPI | 1407449986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: SC 98822) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 98822) |
| 163WA2000X Registered Nurse, Administrator (Licence: SC 98822) | |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2022-11-25 |