| NPI | 1164152013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95287079) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 638164) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |