| NPI | 1801673017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 7612108-3102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 846611) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |