| NPI | 1538416110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 222420-30) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 315895-31) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2020-01-07 |