| NPI | 1083968010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 139888030) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: WI 139888030) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |