| NPI | 1760166532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95306156) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN734717) |
| 163W00000X Registered Nurse (Licence: AZ 281962) | |
| 163W00000X Registered Nurse (Licence: NY 862070) | |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2023-06-13 |