| NPI | 1114793320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9577755) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95352087) |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |