| NPI | 1245224260 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 246YR1600X Spec/Tech, Health Info, Registered Record Administrator (Licence: 0476220) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 80191-030) | 
| Enumeration Date | 2005-09-06 | 
| Last Update Date | 2025-09-11 |