| NPI | 1164304994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA 278872) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95231367) |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |