| NPI | 1124308754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 23503) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: AK 23503) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |