| NPI | 1619841962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95127214) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.399499) |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |