| NPI | 1205587763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 236918) |
| Additional Taxonomies | 163WH0500X Registered Nurse Hemodialysis (Licence: SC 236918) |
| Enumeration Date | 2022-01-15 |
| Last Update Date | 2022-01-16 |