| NPI | 1558914721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 249666) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 24966-30) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-08-08 |