| NPI | 1942340146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN3011052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN176930) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2011-03-03 |