| NPI | 1376057588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA 185268) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 222331) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |