| NPI | 1174148001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: CA 77366) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 763291) |
| 163WS0200X Registered Nurse School (Licence: CA 763291) | |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-07-21 |