| NPI | 1417518150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95178998) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: CA 557777) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |