| NPI | 1508293325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 8317159-3102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 843676) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |