| NPI | 1104233949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN RN0000037956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NURR34341) |
| 163WE0003X Registered Nurse, Emergency (Licence: TN 37956) | |
| 163WE0003X Registered Nurse, Emergency (Licence: AK NURR34341) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |