| NPI | 1023877677 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95215065)  | 
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA 95215065)  | 
| Enumeration Date | 2024-03-18 | 
| Last Update Date | 2024-03-18 |