| NPI | 1275419665 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 463342) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95269665) |
| 163W00000X Registered Nurse (Licence: HI 103191) | |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |