| NPI | 1174917058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV 898321) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 238215) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2026-02-10 |