| NPI | 1720319320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse Administrator (Licence: NV RN43932) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: WI 74058-30) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |