| NPI | 1881052827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1137331) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28212923A) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |