| NPI | 1881134112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SD R054232) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: SD P012241) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2021-06-22 |