| NPI | 1891958799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX0800X Registered Nurse Orthopedic (Licence: IA 119715) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 119715) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |