| NPI | 1437474764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 0000168682) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN ooooo50827) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |