| NPI | 1417263310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2021019912) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 200213551) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2021-07-01 |