| NPI | 1093404964 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: CA 711620)  | 
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 711620)  | 
| Enumeration Date | 2023-05-05 | 
| Last Update Date | 2023-05-05 |