| NPI | 1518515816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2468982) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95073076) |
| 163W00000X Registered Nurse (Licence: CO 1622558) | |
| 163W00000X Registered Nurse (Licence: WI 247271) | |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |