| NPI | 1033801816 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R54740)  | 
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ND L17450)  | 
| Enumeration Date | 2023-05-22 | 
| Last Update Date | 2023-07-07 |