| NPI | 1336018811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: RI RN74192) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2383179) |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |