| NPI | 1295968170 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN105935) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E41964) | 
| 163W00000X Registered Nurse (Licence: CA 757298) | |
| Enumeration Date | 2009-08-26 | 
| Last Update Date | 2009-08-26 |