| NPI | 1851102081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 3353172) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: FL 3353172) |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |