| NPI | 1265022032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95232608) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN730842) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-09-13 |