| NPI | 1811122013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 090718) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO UNKNOWN) |
| 163W00000X Registered Nurse (Licence: CA UNKNOWN) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |