| NPI | 1861016545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: MO 144275) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: MO 144275) |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |