| NPI | 1174059752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: FL RN9582983) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: FL TT14821) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2024-08-07 |