| NPI | 1083507222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP2201X Registered Nurse Ambulatory Care (Licence: CA 95337889) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: CO RN.1656733) |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |