| NPI | 1124254222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 650722) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: CA 650722) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |