| NPI | 1982020731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: SC 103843) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 103843) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |