| NPI | 1073798435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9479779) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN 0000069487) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2018-10-04 |