| NPI | 1013065408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9360447) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA 67572) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2016-03-25 |