| NPI | 1912379587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PR 74341-G) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 3617) |
| 163W00000X Registered Nurse (Licence: FL 9399065) | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |