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 |