| NPI | 1114209640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 229552) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 314324031) |
| Enumeration Date | 2011-09-10 |
| Last Update Date | 2024-09-30 |