| NPI | 1750520805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 174187-30) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 310786) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2022-03-04 |