| NPI | 1821589854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA N260843375) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704333443) |
| 163W00000X Registered Nurse (Licence: MN R214788-0) | |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-05-25 |