| NPI | 1215717160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 268375) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95082401) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2024-01-10 |