| NPI | 1053594242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS 928358) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MS P318771) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2025-02-13 |