| NPI | 1760869333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 182284-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704166918) |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2015-05-02 |