| NPI | 1861157646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1062761) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP53637) |
| 163W00000X Registered Nurse (Licence: OR 202101556RN) | |
| 163W00000X Registered Nurse (Licence: TX 1056627) | |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2021-11-05 |