| NPI | 1528461548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95035312) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN637548) |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2014-10-04 |