| NPI | 1760952014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95060066) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CA 95060066) |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |