| NPI | 1134699663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9218092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0129532) |
| 163W00000X Registered Nurse (Licence: CA 786915) | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |