| NPI | 1063869857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28217501A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1146871) |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2016-05-21 |