| NPI | 1649952615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R32144) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1771082) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |