NPI | 1124780705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: WA 0097850) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 0097850) |
163WH1000X Registered Nurse, Hospice (Licence: WA 0097850) | |
Enumeration Date | 2021-10-11 |
Last Update Date | 2021-10-11 |