| NPI | 1275141392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NM 55709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN214284) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |