| NPI | 1457624603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2008081936) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 104515) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |