| NPI | 1245194109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: GA 139305) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA 139305) |
| 163WH0200X Registered Nurse, Home Health (Licence: GA 139305) | |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2025-12-15 |