| NPI | 1265898480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: MI 4704291006) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 814926) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |