| NPI | 1104586288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: TN 250557) |
| Additional Taxonomies | 163WC3500X Registered Nurse Cardiac Rehabilitation (Licence: NY 757827) |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: NY 757827) | |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2021-12-30 |