| NPI | 1164952503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0100X Registered Nurse, Gastroenterology (Licence: CA 95111057) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA 95111057) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-12-27 |