| NPI | 1962863613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95080485) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657841) |
| 163W00000X Registered Nurse (Licence: AZ RN194347) | |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2017-01-30 |