| NPI | 1265192249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: NC 299855) |
| Additional Taxonomies | 163WC1600X Registered Nurse Continuing Education/Staff Development (Licence: NC 299855) |
| 163WH0200X Registered Nurse Home Health (Licence: NC 299855) | |
| Enumeration Date | 2021-12-18 |
| Last Update Date | 2021-12-18 |