| NPI | 1376624304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 162448) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2022-07-21 |