| NPI | 1376770784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV RN57330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 704530) |
| 163W00000X Registered Nurse (Licence: IL 041.367.440) | |
| 163W00000X Registered Nurse (Licence: AZ RN138126) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |