| NPI | 1104705821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV 860149) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NURR35292) |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-28 |