| NPI | 1972896553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC 1008097) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001112422) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |