| NPI | 1306659867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ID 55074) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: ID 55074) |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |