| NPI | 1700529039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: AL 1-152190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-152190) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |