| NPI | 1679295133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95064500) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CA 95064500) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |