| NPI | 1346664570 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R39543) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT RN34499) | 
| 163W00000X Registered Nurse (Licence: WY 23522) | |
| Enumeration Date | 2014-02-07 | 
| Last Update Date | 2014-02-07 |