| NPI | 1053735050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CO 1685859) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN150160) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2025-08-10 |