| NPI | 1760219075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 11803243-3102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95335899) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |