| NPI | 1932907912 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: TN 276861) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 276861) |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |