| NPI | 1134203193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R31836) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R173839-7) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |