| NPI | 1700549813 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9179794) | 
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: FL 9179794) | 
| 163WI0600X Registered Nurse, Infection Control (Licence: FL 9179794) | |
| Enumeration Date | 2021-10-15 | 
| Last Update Date | 2021-10-15 |