| NPI | 1669985388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1400X Registered Nurse, College Health (Licence: CA 95130515) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: CA 95130516) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |