| NPI | 1790221927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY 44025) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WY 8321) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2021-02-08 |