| NPI | 1821346081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA RN137104) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R163198) |
| 163W00000X Registered Nurse (Licence: FL RN9286349) | |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |