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 |