| NPI | 1518703933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9674808) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5169477) |
| Enumeration Date | 2024-07-04 |
| Last Update Date | 2025-05-19 |