| NPI | 1790390854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 233285) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 342012) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2023-11-01 |