| NPI | 1073158713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95054395) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN84327) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2020-05-12 |