| NPI | 1609177492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MS R885578) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MS R885578) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |