| NPI | 1982075412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA 60580280) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 807092) |
| 163W00000X Registered Nurse (Licence: MO 2006004522) | |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |