| NPI | 1851733067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 223139) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: SC PR44287) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-10-15 |