| 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 |