| NPI | 1306513494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 256080) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 811363) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |