| NPI | 1770939290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001262289) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: DC RN1033385) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2018-10-05 |