| NPI | 1598594921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9609152) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN268068) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-09-11 |