| NPI | 1265268650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-175991) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL LP-015694) |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2025-04-15 |