| NPI | 1134368061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 47668) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 6975) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |