| NPI | 1578812459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1400X Registered Nurse, College Health (Licence: ND R33583) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R33583) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |