| NPI | 1659998854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201709947RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95039761) |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-03 |