| NPI | 1417835208 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95383957)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN10014828)  | 
| Enumeration Date | 2025-08-21 | 
| Last Update Date | 2025-08-21 |