| NPI | 1114704905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95303661) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR 221391) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |