| NPI | 1942806864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2316827) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: GA RN270900) |
| 163WN0800X Registered Nurse, Neuroscience (Licence: TX 969523) | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |