| NPI | 1316593361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 505394) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CA 180001785) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |