NPI | 1457876740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95140270) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 283958) |
Enumeration Date | 2017-08-08 |
Last Update Date | 2017-10-27 |