| NPI | 1285714220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PR 14820) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: PR 14820) |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: PR 14820) | |
| 163WS0121X Registered Nurse Plastic Surgery (Licence: PR 14820) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |