| NPI | 1689133001 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PR 39381) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 021947) |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2023-04-16 |