| NPI | 1619380672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001299843) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002082213) |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2022-01-15 |