| NPI | 1619840790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI RN-98824) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR RN10003012) |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-10-09 |