| NPI | 1639550999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9402414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 174920) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |