| NPI | 1063996171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 785467) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: CA 785467) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CA 785467) | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |