| NPI | 1659990463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS 894864) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: MS 894864) |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2020-04-11 |