| NPI | 1649419466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN RN0000067203) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 13930) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2014-08-05 |