| NPI | 1104596238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA 218097) |
| Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy (Licence: GA 218097) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |