| 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 |