| NPI | 1871300830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND 204016) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ND L15199) |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2026-02-08 |