| NPI | 1639850241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CA 95205391) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: CA 95205391) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 95205391) | |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-04-25 |