| NPI | 1871394189 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R265132) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MD R265132) |
| Enumeration Date | 2025-03-22 |
| Last Update Date | 2025-03-22 |