| NPI | 1710176219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2006019254) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1499766031) |
| Enumeration Date | 2007-10-20 |
| Last Update Date | 2007-10-20 |