| NPI | 1689016974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 7737) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 163284) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |