| NPI | 1407518624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9433678) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL Rn9433678) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |