| NPI | 1699596486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95300697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9267177) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |