| NPI | 1790092781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 195097 - 30) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 304291-031) |
| Enumeration Date | 2010-09-11 |
| Last Update Date | 2013-06-11 |