| NPI | 1568044055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN156887) |
| Additional Taxonomies | 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: GA RN156887) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2025-04-09 |