| NPI | 1154554715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 152140) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R881325) |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: MO 152140) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: MS R881325) | |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-08-31 |