| NPI | 1164180493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1619723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95099069) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2024-01-11 |