| NPI | 1518283415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1400X Registered Nurse, College Health (Licence: WI 96233-30) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: WI 96233-30) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |