| NPI | 1700613429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN277731) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 41314508) |
| 164W00000X Licensed Practical Nurse (Licence: TN 85968) | |
| 164X00000X Licensed Vocational Nurse (Licence: TX 194440) | |
| 227800000X Respiratory Therapist, Certified (Licence: FL TT16074) | |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |