| NPI | 1225408263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI WI-168796) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL FL-9384272) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |