| NPI | 1700243367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN 9362541) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-151826) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |