| NPI | 1952045957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VT 026.0144208) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 721100) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2025-10-06 |