| NPI | 1982000196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-138911) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN234677) |
| Enumeration Date | 2014-11-15 |
| Last Update Date | 2014-11-15 |