| NPI | 1073477170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9519840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 9519840) |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2025-12-12 |