| NPI | 1831671841 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN2958762)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 255678)  | 
| Enumeration Date | 2018-09-06 | 
| Last Update Date | 2018-09-06 |