| NPI | 1639790751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 249517) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC T95717) |
| 163W00000X Registered Nurse (Licence: CA 757599) | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |