| NPI | 1245601525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001193208) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: VA 0001193208) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: VA 0001193208) | |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-11-09 |