| NPI | 1861875833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 326536) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN58040) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |