| NPI | 1245594258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 28744) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28153963A) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |