| NPI | 1225672496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246X00000X Spec/Tech, Cardiovascular (Licence: 102399) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK r0040928) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |