| NPI | 1023499332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1400X Registered Nurse, College Health (Licence: CA 95155475) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2290462) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-08-25 |