| NPI | 1386796167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 179817-30) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 305608-31) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-09-12 |