| NPI | 1417614561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 10047633) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OR 202110836LPN) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2026-05-21 |