| NPI | 1366014813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 12296738-3102) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: UT 122967383101) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2023-06-08 |