| NPI | 1811787948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9699458) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 2939-01) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-12-15 |