| NPI | 1912399957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0100X Registered Nurse, Gastroenterology (Licence: CA 793492) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 33091) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2024-09-25 |