| NPI | 1699755140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NM CNP00168) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R15455) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2011-07-11 |