| NPI | 1790121671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 196082 - 30) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 31404531) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-06-25 |