| NPI | 1508204801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9449280) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5203915) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2018-03-17 |