| NPI | 1447523246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9396800) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5200908) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2018-11-17 |