| NPI | 1942178827 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 334099) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 334099) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CA 334099) | |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-23 |