| NPI | 1023772837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95217780) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CA 95217780) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95217780) | |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2023-02-15 |