| NPI | 1003279332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 174931-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2043010) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-01-30 |