| NPI | 1730870833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: SC 229655) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 229655) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |