| NPI | 1992107924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28211915A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1141123) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |