| NPI | 1417008962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR R43205) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN2931932) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |