| NPI | 1669288494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 00000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001290842) |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |