| NPI | 1629639125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 836990) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1121790) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |