| NPI | 1902161102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SD R037977) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9273334) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |