| NPI | 1457558959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9208224) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 013739) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-07-08 |