| NPI | 1164298006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA 136128) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: LA 136128) |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |