| NPI | 1912218306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX0200X Registered Nurse, Oncology (Licence: AK 30456) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MI 4704158746) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |