| NPI | 1518463942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9477117) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MP R7177) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |