| NPI | 1245626936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 196550-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 196251-6) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |