| NPI | 1033987466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9479352) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 586944) |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |