| NPI | 1982900841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 95072766) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95072766) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2022-07-21 |