| NPI | 1760801393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: SC 56734) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 56734) |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: SC 56734) | |
| 163WN1003X Registered Nurse, Nutrition Support (Licence: SC 56734) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |