| NPI | 1871742064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001106374) |
| Additional Taxonomies | 163WX0800X Registered Nurse Orthopedic (Licence: VA 0001106374) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2013-01-31 |