| NPI | 1942751888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 205726) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN245393) |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2016-10-15 |