| NPI | 1912135955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 171663) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 311429-31) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2010-02-18 |