| NPI | 1508487679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L1-0055028) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 677714) |
| 163W00000X Registered Nurse (Licence: PA RN538615) | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |