| NPI | 1457723819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001250471) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-134722) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |