| NPI | 1962671982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV RN43820) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704198942) |
| Enumeration Date | 2008-02-24 |
| Last Update Date | 2008-02-24 |