| NPI | 1275925844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001144488) |
| Additional Taxonomies | 163WN1003X Registered Nurse, Nutrition Support (Licence: VA 0001144488) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |