| NPI | 1790531739 |
|---|---|
| Former Name | LIBERTY DYKEHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: HI 105646) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MI 4704265974) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |