| NPI | 1366154700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2021009116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 802348) |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2022-12-16 |