| NPI | 1558779264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV RN78867) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2014004819) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-08-11 |