| NPI | 1194450783 |
|---|---|
| Former Name | EDWA SENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95107388) |
| Additional Taxonomies | 156F00000X Technician/Technologist (Licence: CA CPT-01011070) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |