| NPI | 1164068748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95175441) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 822763) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |