| NPI | 1093240905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1017924) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 220184-9) |
| 163W00000X Registered Nurse (Licence: MD R187865) | |
| 163W00000X Registered Nurse (Licence: CA 95050441) | |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |