| NPI | 1912061946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: NC 129639) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 129639) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |