| NPI | 1740038967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001339828) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002095244) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2025-11-04 |