| NPI | 1639419211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9356626) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5190753) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |