| NPI | 1356896922 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NH 041284-21) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NH 01593) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |