| NPI | 1225380314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR R56086) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R104275) |
| 163W00000X Registered Nurse (Licence: MT NUR-NR-LIC47770) | |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |