| NPI | 1588860274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse Administrator (Licence: NC 196797) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: NC 196797) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-07-08 |