| NPI | 1215200647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: FL RN9441769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9441769) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2026-06-12 |