| NPI | 1568123214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WI0500X Registered Nurse Infusion Therapy (Licence: AZ 222061) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 222061) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |