| NPI | 1699264978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 140778) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9369549) |
| 163W00000X Registered Nurse (Licence: MA 2315738) | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |