| NPI | 1235806407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 22582130) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 225821-30) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |