| NPI | 1831729417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS 895742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 141-222) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: MS 895742) | |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |