| NPI | 1346754652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 198871) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 19877130) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |