| NPI | 1689990749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MD R114508) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MD R114508) |
| 163WC1400X Registered Nurse, College Health (Licence: MD R114508) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |