| NPI | 1689006710 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R223654) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 767099) | 
| Enumeration Date | 2013-07-31 | 
| Last Update Date | 2023-08-15 |