| NPI | 1215398540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management (Licence: CA 551281) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CA 551281) |
| 163WN1003X Registered Nurse, Nutrition Support (Licence: CA 551281) | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |