| NPI | 1679015408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 102704) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: SC 102704) |
| 163WH0200X Registered Nurse, Home Health (Licence: SC 102704) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: SC 102704) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: SC 102704) | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |