NPI | 1548850472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 753896) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 80811) |
Enumeration Date | 2021-01-25 |
Last Update Date | 2021-01-25 |