| NPI | 1154968477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95122493) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 95122493) |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 95122493) | |
| 163WG0000X Registered Nurse, General Practice (Licence: CA 95122493) | |
| 163WH0200X Registered Nurse, Home Health (Licence: CA 95122493) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 95122493) | |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |