| NPI | 1275851115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN1003X Registered Nurse, Nutrition Support (Licence: GA 105645) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 105645) |
| Enumeration Date | 2010-05-15 |
| Last Update Date | 2011-05-26 |