| NPI | 1225590946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY 27680) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: WY 27680) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |