| NPI | 1003489139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R48601) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1742561) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-07-16 |