| NPI | 1386945020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 154716) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN151057) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |