| NPI | 1497089809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9236103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704177898) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |