| NPI | 1972279297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201703322RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95196038) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |