| NPI | 1689097891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NM R63706) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NM R63706) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2021-03-17 |