| NPI | 1396464046 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 229499) | 
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 229499) | 
| Enumeration Date | 2022-08-25 | 
| Last Update Date | 2022-08-25 |