| NPI | 1619865847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 264771) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95421860) |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-07-22 |