| NPI | 1588488795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN.1696410) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704235991) |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |