| NPI | 1962706135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: AK 9264) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AK 9264) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |