| NPI | 1780138198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: CA 95022225) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95022225) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2020-09-22 |