| NPI | 1104543693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN95113657) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN272025) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |