| NPI | 1902105919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI 95237) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: HI 15719) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2019-12-17 |