| NPI | 1134512627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2020014771) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 2010010005) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2022-01-12 |