| NPI | 1255193082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 1115526) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 31489) |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-11-04 |