| NPI | 1639492358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: AL 1-128885) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: VA 0001165547) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2011-02-01 |