| NPI | 1912350414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 259564) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NC 064847) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |