| NPI | 1639751340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95098559) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 404191) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-04-22 |