| NPI | 1992279681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9371040) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: FL AL13250) |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |