| NPI | 1730746124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: FL 9488587) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9488587) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2021-10-11 |