| NPI | 1164315818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ID 44137) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 1001942) |
| 163W00000X Registered Nurse (Licence: CA 95061695) | |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |