| NPI | 1225675267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: CA 770976) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: CA 770976) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |