| NPI | 1972925550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2009024224) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9318530) |
| 163W00000X Registered Nurse (Licence: CO 201547) | |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |