| NPI | 1114335007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 27066359A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704307465) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |