| NPI | 1972860674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 137986) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 661401) |
| 163W00000X Registered Nurse (Licence: FL RN9231135) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |