| NPI | 1881823813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2003025154) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 673569) |
| 163W00000X Registered Nurse (Licence: OH 302094) | |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2009-07-12 |