NPI | 1215644489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 319785) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95074286) |
Enumeration Date | 2022-10-27 |
Last Update Date | 2022-10-27 |