| NPI | 1467214817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-198461) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 2-073972) |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-02-09 |