| NPI | 1205875317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1710I1002X Military Health Care Provider, Independent Duty Corpsman |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 830057) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2021-12-29 |