| NPI | 1013171669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 537860) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 732952) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |