| NPI | 1396326856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CA 95226737) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: CA 95226737) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-05-06 |