| NPI | 1417356957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: GA RN219718) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MI 4704280114) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |