| 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 |