| NPI | 1952849242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 255626) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN 83906) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2021-07-27 |