| NPI | 1710489802 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP2800X Clinical Nurse Specialist, Perioperative (Licence: CA 4651) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CA 653887) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-17 |