| NPI | 1114784196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT E58752) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E58572) |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |