| NPI | 1669699609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1102018) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN131404) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |