| NPI | 1710423934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201607574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 22087) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |