| NPI | 1821881095 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: CA 95290410) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA RN2305393) |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |