| NPI | 1790826071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 165153-030) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 304026-031) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-09-30 |