| NPI | 1932666021 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC 1052512) | 
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN1005309) | 
| Enumeration Date | 2019-02-25 | 
| Last Update Date | 2023-07-27 |