| NPI | 1114752458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NM RN75283) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM 426845) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |