| NPI | 1558125864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS 919963) |
| Additional Taxonomies | 235500000X Specialist/Technologist (Licence: 15917) |
| 246Z00000X Specialist/Technologist, Other (Licence: 064) | |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |