| NPI | 1730620774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 663181) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 107942) |
| 163WE0003X Registered Nurse, Emergency (Licence: AK 107942) | |
| 163WE0003X Registered Nurse, Emergency (Licence: CA 663181) | |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |