| NPI | 1669931184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: AR R069287) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R069287) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |