| NPI | 1104525344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 237188) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: SC 237188) |
| 163WH0200X Registered Nurse, Home Health (Licence: SC 237188) | |
| 163WP0000X Registered Nurse, Pain Management (Licence: SC 237188) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: SC 237188) | |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |