| NPI | 1508453382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-186227) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 2-073886) |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2021-06-15 |