| NPI | 1679341937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95347880) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9617810) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |