| NPI | 1639734619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL APRN11003819) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9204555) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-10-17 |