| NPI | 1932712221 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: FL 9404336)  | 
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: FL 9404336)  | 
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: FL 9404336)  | |
| Enumeration Date | 2020-08-26 | 
| Last Update Date | 2020-08-26 |