| NPI | 1407300452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND r28085) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN r162874-0) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |