| NPI | 1396894762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 430092) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: CA 430092) |
| 163WG0000X Registered Nurse General Practice (Licence: CA 430092) | |
| 163WH0200X Registered Nurse Home Health (Licence: CA 430092) | |
| 163WP0200X Registered Nurse Pediatrics (Licence: CA 430092) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-09 |