| NPI | 1346655404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 257951) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TN 81687) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2022-06-04 |