| NPI | 1922352004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9501003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 006586) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2019-04-23 |