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 |