| NPI | 1861152852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95277458) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 187220) |
| 163W00000X Registered Nurse (Licence: VA 0001308092) | |
| Enumeration Date | 2021-12-18 |
| Last Update Date | 2022-09-26 |