| NPI | 1962787663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD r162086) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA rn626135) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |