| NPI | 1497127971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 099007576RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 463886) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |