| NPI | 1558707109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9586507) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 194820-30) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2022-12-02 |