| NPI | 1194608562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN500025208) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 978961) |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-08-01 |