| NPI | 1548762248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9467360) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 5212823) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |