| NPI | 1205589421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN752565) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202102241RN) |
| 163W00000X Registered Nurse (Licence: TN 234109) | |
| 163W00000X Registered Nurse (Licence: MA RN2350713) | |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-07-18 |