| NPI | 1386099802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 108211) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 596882) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |