| NPI | 1093069072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: MO 2005038768) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MN R205129-3) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |