| NPI | 1972715787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MI 4704249796) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA TL6068871012) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |