| NPI | 1629520242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: SC RN .47558 R) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC RN .47558 R) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |