| NPI | 1164714663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 32635) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 38631) |
| 163W00000X Registered Nurse (Licence: ND R35126) | |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |