| NPI | 1265995930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 606528) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 606825) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |