| NPI | 1700577020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 152764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2366300) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |