| NPI | 1518381144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MT 10572) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN180615) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |