| NPI | 1811639073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 774986) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: CA 774986) |
| 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: CA 774986) | |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |