| NPI | 1114460615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OK 95755) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN680360) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2021-12-09 |