| NPI | 1780404574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95397254) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1035134) |
| 163W00000X Registered Nurse (Licence: NY 761459-01) | |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |