| NPI | 1902077621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 125208) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 1609272) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |