| NPI | 1760751333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NC 245834) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 245834) |
| 163WG0000X Registered Nurse, General Practice (Licence: NC 245834) | |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |