| NPI | 1699508085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: RI RN49147) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9344208) |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2025-08-25 |