| NPI | 1962966424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2012038044) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: MO 2012038044) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |