| NPI | 1770809600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 107533) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 766351) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |