| NPI | 1578159844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 143284) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 291815) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |