| NPI | 1235493958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 1287332) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000162926) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |