| NPI | 1568879765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 152658030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 152658-30) |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2022-04-19 |