| NPI | 1114748811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95136557) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CA 95136557) |
| 163WH1000X Registered Nurse, Hospice (Licence: CA 95136557) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: CA 95136557) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 95136557) | |
| 163WX0200X Registered Nurse, Oncology (Licence: CA 95136557) | |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-10-24 |