| NPI | 1104799139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1702716) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 953615) |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |