| NPI | 1306220553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 154603-30) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2024-06-22 |