| NPI | 1992215024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 243894-30) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 322180) |
| 164W00000X Licensed Practical Nurse (Licence: WI 322180-31) | |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2024-01-12 |