| NPI | 1003676677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI RN-63957) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: HI RN-63957) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |