| NPI | 1629478664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1626498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 519353) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |