| NPI | 1386010007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 138544) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-142250) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |