| NPI | 1891066767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28199596A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1077845) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |