| NPI | 1740591346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: AR S02226 CNS) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R69599) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |