| NPI | 1730690249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9456007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9456007) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |