| NPI | 1093604480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: WY 26097) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: WY 26097) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: WY 26097) | |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |