| NPI | 1700540390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA PHN561737) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95244360) |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2021-12-10 |