| NPI | 1558042010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NM 84616) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 94443) |
| 163W00000X Registered Nurse (Licence: NY 806500) | |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2025-07-18 |