| NPI | 1356049712 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: FL 20-312757) | 
| Additional Taxonomies | 246R00000X Technician, Pathology | 
| Enumeration Date | 2023-02-15 | 
| Last Update Date | 2023-02-15 |