| NPI | 1538613583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95323161) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA F4522560) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2023-03-15 |