| NPI | 1710728514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ID 74790) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10931631-3102) |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |