| NPI | 1790101640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 19617) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: SC 19617) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-27 |