| NPI | 1467919662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95058645) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: CA 95058645) |
| 163WE0003X Registered Nurse Emergency (Licence: CA 95058645) | |
| 163WH0200X Registered Nurse Home Health (Licence: CA 95058645) | |
| 208000000X Pediatrics (Licence: CA 95058646) | |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: CA 95058645) | |
| Enumeration Date | 2019-02-23 |
| Last Update Date | 2025-07-23 |