| NPI | 1740691708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS R895251) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R895251) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MS R895251) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2016-08-04 |