| NPI | 1457147571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY 55245) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN224616) |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-16 |