| NPI | 1689114928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201243703RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 836218) |
| 163W00000X Registered Nurse (Licence: CA 841922) | |
| 163W00000X Registered Nurse (Licence: AL 1-105540) | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |