| NPI | 1073343711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 804122) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 470962) |
| 163W00000X Registered Nurse (Licence: IL 041488004) | |
| 163W00000X Registered Nurse (Licence: OR 10019062) | |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-23 |