| NPI | 1306358049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: NV rn95833) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28128612A) |
| 163W00000X Registered Nurse (Licence: AZ 196462) | |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |