| NPI | 1437399169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN 3106022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 36815) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |