| NPI | 1255186938 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN275230) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95177512) | 
| 163W00000X Registered Nurse (Licence: NY 759730) | |
| Enumeration Date | 2024-04-17 | 
| Last Update Date | 2024-11-05 |