| NPI | 1780460600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 238246) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95403426) |
| 164X00000X Licensed Vocational Nurse (Licence: CA 708460) | |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2025-08-19 |