| NPI | 1942655790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 248931-30) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 320428) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2019-06-26 |