| NPI | 1821266610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-126836) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 2-041622) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2011-09-21 |