| NPI | 1417125196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9230664) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 072541) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |