| NPI | 1679089742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R46763) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ND L13850) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2019-09-25 |