| NPI | 1487787933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: RI RNA22322) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI 22322) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |