| NPI | 1255116166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 296308) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2482688) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |