| NPI | 1922800234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001175576) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: VA 0001175576) |
| 163WC0400X Registered Nurse, Case Management (Licence: VA 0001175576) | |
| 163WG0000X Registered Nurse, General Practice (Licence: VA 0001175576) | |
| 163WG0100X Registered Nurse, Gastroenterology (Licence: VA 0001175576) | |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |