| NPI | 1770937559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SD R045208) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: SD R045208) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |