| NPI | 1417407586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 241033-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2427539) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2023-11-29 |