| NPI | 1609647106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NM 59396) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM 412351) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |