| NPI | 1245845189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL RN789062) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: PA RN694511) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |