| NPI | 1629127717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: FL RN2244002) |
| Additional Taxonomies | 163WX0003X Registered Nurse Obstetric, Inpatient (Licence: FL RN2244002) |
| 363AS0400X Physician Assistant Surgical | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |