| NPI | 1235512518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI 74534) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 3281302) |
| 163W00000X Registered Nurse (Licence: VA 0001155533) | |
| 163W00000X Registered Nurse (Licence: CA 708711) | |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2015-07-03 |