| NPI | 1699476796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9627720) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN100801) |
| 164W00000X Licensed Practical Nurse (Licence: IL 043.131119) | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-05-02 |