| NPI | 1619333895 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95063367)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001196283)  | 
| 163W00000X Registered Nurse (Licence: FL RN9317859)  | |
| Enumeration Date | 2016-01-04 | 
| Last Update Date | 2016-01-04 |