| NPI | 1518204247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R38520) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 131471) |
| 163W00000X Registered Nurse (Licence: MN 209771-0) | |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |