| NPI | 1033768106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OK R0114938) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95151664) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |