| NPI | 1588394134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 181583) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1675300) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-15 |