| NPI | 1740791086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD RN962408) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MD RN962408) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |