| NPI | 1942652334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201603941RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT NUR-RN-LIC-101936) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |