| NPI | 1265758478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9267278) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 31278) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |