| NPI | 1376921791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2001024752) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |