| NPI | 1508355199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9278478) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: FL RN9278478) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |