| NPI | 1801350723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 145461) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: MO 145461) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |