| NPI | 1255025342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CA 576971) |
| 163WW0000X Registered Nurse, Wound Care (Licence: CA 576971) | |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-06-12 |