| NPI | 1205665817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9542772) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2335878) |
| 163W00000X Registered Nurse (Licence: AZ 251868) | |
| 163W00000X Registered Nurse (Licence: IL 041521247) | |
| 163W00000X Registered Nurse (Licence: TX 1018304) | |
| 163W00000X Registered Nurse (Licence: CT 140121) | |
| 163W00000X Registered Nurse (Licence: OH 489557) | |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-08-07 |