| NPI | 1114492790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95375296) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 947515) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2025-03-17 |