| NPI | 1043899743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R34482) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: ND R34482) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-05-23 |