| NPI | 1417636556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9626906) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 4722942) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |