| NPI | 1386019610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: TX 836594) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 388500) |
| Enumeration Date | 2015-12-12 |
| Last Update Date | 2015-12-12 |