NPI | 1164105649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH1000X Registered Nurse, Hospice (Licence: CA 95024147) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 95024147) |
Enumeration Date | 2023-08-10 |
Last Update Date | 2023-08-10 |