| NPI | 1265810048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95133315) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 795545) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2019-10-17 |