| NPI | 1306310990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R39271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2156949) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |