| NPI | 1336175652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV RN07149) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV CRNFA997428) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2018-03-22 |