| NPI | 1487029054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28153417A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2002001441) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |