| NPI | 1962102699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 95254830) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95254830) |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-10 |