| NPI | 1831515782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 43632) |
| Additional Taxonomies | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: SC 43632) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |