| NPI | 1467812479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9337579) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 5877777) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |