| NPI | 1629223383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 200341463RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001121017) |
| Enumeration Date | 2008-11-22 |
| Last Update Date | 2008-11-22 |