| NPI | 1851954143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95157330) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 557348) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |