| NPI | 1629622626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201808104RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95125249) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |