| NPI | 1902099195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR R87933) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AR L41677) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2011-02-25 |