| NPI | 1548578719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS R882706) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-114246) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2012-05-22 |