| NPI | 1073053484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 233802) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28211978A) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |