| NPI | 1962950485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS 898215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA rn125516) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |