| NPI | 1750833521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001248788) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: VA 0001248788) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |