| NPI | 1982188124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9492965) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2315363) |
| 163W00000X Registered Nurse (Licence: OH 269058) | |
| 163W00000X Registered Nurse (Licence: SC 242796) | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |