| NPI | 1801910799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN 9204168) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 675754) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2007-07-08 |