| NPI | 1649708579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R181556) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95047313) |
| 163W00000X Registered Nurse (Licence: PA RN654888) | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-05-23 |