| NPI | 1780136820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA 95003776) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 634327) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |