| NPI | 1306094883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1084252) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 23087) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |