| NPI | 1093562464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 236369) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CT 45286) |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2025-10-28 |