| NPI | 1346665486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 200111-30) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 313086-31) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-04-22 |