| NPI | 1780558106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001280616) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1050361) |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |