| NPI | 1679453013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND 202838) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 46222) |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |