| NPI | 1720769789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1638385) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95221485) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-11-27 |