| NPI | 1891195129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS R877992) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1144247) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |