| NPI | 1346560018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9264421) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.344134) |
| 163W00000X Registered Nurse (Licence: WI 164435-030) | |
| 163W00000X Registered Nurse (Licence: MO 2004032323) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |