| NPI | 1942613492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI 76606) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001192223) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |