| NPI | 1265240410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CA 95271718) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: WA RN61057681) |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |