| NPI | 1962227892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: ND R41835) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MN 2459535) |
| Enumeration Date | 2024-11-16 |
| Last Update Date | 2024-11-16 |