| NPI | 1215696620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA 802379) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 802379) |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |