| NPI | 1124728480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CA 95072412) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95072412) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |