| NPI | 1376364802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ID 57148) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201607206RN) |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |