| NPI | 1114399177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: IN 28181022A) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: WI 221174-30) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |