| NPI | 1922717024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95198776) |
| Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: CA 95198776) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |