| NPI | 1053678094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 190320-30) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 313846-031) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-06-15 |