| NPI | 1396484721 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WN1003X Registered Nurse, Nutrition Support (Licence: AZ RN178903)  | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN178903)  | 
| Enumeration Date | 2022-06-02 | 
| Last Update Date | 2022-06-02 |