| NPI | 1770240194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD r144866) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R144822) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |