| NPI | 1104608629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: CA 95053562) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CA 95053562) |
| 163W00000X Registered Nurse (Licence: CA 95053562) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: CA 95053562) | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |