| NPI | 1700609781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9650706) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN309146) |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |