| NPI | 1578388807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-203839) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 2078186) |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2025-06-09 |