| NPI | 1043039415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9676785) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5201447) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2025-08-06 |