| NPI | 1801485602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV RN57544) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 245067) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |