| NPI | 1912878802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA 23751169) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: LA 23751169) |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-09-15 |