| NPI | 1184853012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 167452-030) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 303888-031) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2022-12-19 |