| NPI | 1689445249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95236082) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: CA 95236082) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |