| NPI | 1942605688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9533773) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 5164644) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2020-06-25 |