| NPI | 1891160925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 0196312) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0196312) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2019-05-01 |