| NPI | 1528654845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: FL 9464176) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9464176) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |