| NPI | 1811560485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND 200274) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ND L17376) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-09-03 |