| NPI | 1679163034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: RI RN66641) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2344045) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |