| NPI | 1689411852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R267383) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2311815) |
| Enumeration Date | 2024-07-13 |
| Last Update Date | 2024-07-13 |