| NPI | 1710843453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 105075) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: IA 105075) |
| 163WG0000X Registered Nurse, General Practice (Licence: IA 105075) | |
| Enumeration Date | 2025-12-26 |
| Last Update Date | 2025-12-26 |