| NPI | 1649436064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY RN.0126181) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 149165-030) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2019-12-04 |