| NPI | 1619344108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE 478878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 521680L) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |