| NPI | 1770075004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI 81610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95107923) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |