| NPI | 1588003636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN154676) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 629548) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |