| NPI | 1013626993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 95247241) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95247241) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2022-12-27 |