| NPI | 1629757125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 148882) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95340284) |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |