| NPI | 1588109235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95094532) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9264002) |
| 163W00000X Registered Nurse (Licence: KY 1091235) | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |