| NPI | 1659766830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: SC 87618) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: WY 6759) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NV RN80335) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |