| NPI | 1043985534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 262485-30) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 326232) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-10-15 |