| NPI | 1588198618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2004014877) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MO 2004014877) |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2020-08-29 |