| NPI | 1932596483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN.1626576) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 106906) |
| 163W00000X Registered Nurse (Licence: MA xxxxxxxxxxxxxxxxxxxx) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |