| NPI | 1669057121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0500X Registered Nurse, Hemodialysis (Licence: SC 100078) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 100078) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-03-16 |