| NPI | 1205710324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 10040678) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9598140) |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |