| NPI | 1144722810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9364819) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9364819) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2022-07-21 |