| NPI | 1689940785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SD R041201) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 178915) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |