| NPI | 1861856700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OK 103290) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 669077) |
| 163W00000X Registered Nurse (Licence: CT 129996) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |