| NPI | 1689300196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: ID 70217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201140253RN) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |