| NPI | 1093166860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 38564) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 185244-30) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |