| NPI | 1073117362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9531870) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: FL RN9531870) |
| Enumeration Date | 2020-11-26 |
| Last Update Date | 2020-11-26 |