| NPI | 1861234866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN95382843) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 277614) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2026-03-24 |