| NPI | 1831571256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9543249) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5233408) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2020-11-16 |