| NPI | 1063391142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001280741) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95357681) |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-09-02 |