| NPI | 1780149997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: AR R102064) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: MO 2015018211) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |