| NPI | 1881963767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001175496) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 64981) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |