| NPI | 1972105237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND 204191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 204191) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2026-03-05 |