| NPI | 1770467862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ 272434) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95084333) |
| Enumeration Date | 2025-08-02 |
| Last Update Date | 2025-08-02 |