| NPI | 1063653012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR R32493) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 723886) |
| 163W00000X Registered Nurse (Licence: MO 2007031666) | |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |