| 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 |