| NPI | 1952880320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95084341) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 621501) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |