| 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 |