| NPI | 1649824400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-120693) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: AL 1-120693) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |