| NPI | 1164047007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 661403) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: CA 661403) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |