| NPI | 1841966728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 146704) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-99078052) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |