| NPI | 1891056040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9266239) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN192269) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |