| NPI | 1265293617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95354904) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 239101) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |