| NPI | 1588952527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2260824) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N-39148) |
| 163W00000X Registered Nurse (Licence: FL RN9292245) | |
| 163W00000X Registered Nurse (Licence: WA RN60083206) | |
| 163W00000X Registered Nurse (Licence: OR 200540747RN) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |