| NPI | 1336518018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 169240-030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R187137-7) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |