| NPI | 1306081765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA 60261815) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704217790) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2019-10-08 |