| NPI | 1710403878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9457556) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: FL 13059) |
| Enumeration Date | 2017-08-20 |
| Last Update Date | 2017-08-20 |