| NPI | 1013152024 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: FL RN9266938)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9266938)  | 
| Enumeration Date | 2008-12-04 | 
| Last Update Date | 2019-06-17 |