| NPI | 1780051516 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WI0600X Registered Nurse, Infection Control (Licence: AZ 182232)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 780746)  | 
| Enumeration Date | 2015-08-27 | 
| Last Update Date | 2015-08-27 |