| NPI | 1730175621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MT RN28901) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN046539) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2007-07-08 |