| NPI | 1942661368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 226651-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN559304) |
| 163W00000X Registered Nurse (Licence: CA 764554) | |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |