| NPI | 1184048514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704279637) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 182649) |
| 163W00000X Registered Nurse (Licence: WA 60396957) | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |