| NPI | 1548780265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95113276) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2295959) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |