| NPI | 1497178479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 078040147RN) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OR 078040147) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |