| NPI | 1588011571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-185938) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 2-073531) |
| 174400000X Specialist | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2021-07-08 |