| NPI | 1427506393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ rn075194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 478188) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |