| NPI | 1801472105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VT 026.0146370) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VT 025.0135464) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-06-28 |