NPI | 1174112015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95055223) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA F10170026) |
Enumeration Date | 2021-01-14 |
Last Update Date | 2021-01-14 |