| NPI | 1619123098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY 23390) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R21677) |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2008-08-17 |