| NPI | 1891114633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2011021810) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 121357) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |