| NPI | 1730597014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS 901310) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1140504) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2017-02-27 |