| NPI | 1538557541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH 366230) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TX B1368958) |
| 163WG0000X Registered Nurse, General Practice (Licence: VA 0001222531) | |
| Enumeration Date | 2014-12-27 |
| Last Update Date | 2014-12-27 |