| NPI | 1083241327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9652628) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA Rn717412) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-10-09 |