| NPI | 1265109219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95034466) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-75615) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-08-26 |