| NPI | 1801227103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 118743-030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704207219) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |