| NPI | 1437215688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 148387-030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R154040-4) |
| 164W00000X Licensed Practical Nurse (Licence: MN L050623-2) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-09 |