| NPI | 1730753435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA 206282) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: LA 20180753) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2022-09-12 |