| NPI | 1134666050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: ME RN68919) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 925441) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2020-08-05 |