| NPI | 1881159325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN 1645655) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AZ 219771) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |