| NPI | 1952992562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95237584) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN736403) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-08-31 |