| NPI | 1245954452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95373855) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR23056800) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2024-10-15 |