| NPI | 1790214781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 585141) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: CA 585141) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-07-21 |