| NPI | 1760875447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI 78549) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 646719) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |