| NPI | 1982950184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV rn 40914) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 465008) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |