| NPI | 1548508740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN R 189100-1) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 140538) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |