| NPI | 1235486598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 71707-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R117042-1) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |