| NPI | 1730582495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR R025129) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R25149) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |