| NPI | 1083297782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 516309) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CA 516309) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 516309) | |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |