| NPI | 1134632052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95088583) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 715426) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |