| NPI | 1194479865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL APRN11017627) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9534148) |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |