| NPI | 1578318887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-192715) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 288637) |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2025-09-01 |