| NPI | 1093271967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NE 96595) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NE 25934) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2024-10-04 |