NPI | 1215513080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95213141) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CA 95213141) |
Enumeration Date | 2021-03-22 |
Last Update Date | 2021-05-27 |