| NPI | 1457745861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN165396) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 841463) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |