| NPI | 1952777625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2015019764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9406163) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |