| NPI | 1811122302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CO 81904) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 631920) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: AK 25471) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: KS 13-29604-081) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |