| NPI | 1861871295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: FL RN9297839) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH15787) |
| 163W00000X Registered Nurse (Licence: FL RN9297839) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |