| NPI | 1326828195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MA 332554) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-115327-0) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2024-02-14 |