| NPI | 1811363955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY 34113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 176771) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |