| NPI | 1497774830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1400X Registered Nurse, College Health (Licence: WI 74614-030) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: WI 907-033) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-09 |