| NPI | 1629775143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95126874) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 120700) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |