| NPI | 1033485214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 191453-30) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 314220031) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2012-08-01 |