| NPI | 1710123344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 77030-030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 099082) |
| Enumeration Date | 2009-01-03 |
| Last Update Date | 2009-01-03 |