NPI | 1558973073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95247691) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 218516) |
Enumeration Date | 2020-08-17 |
Last Update Date | 2023-10-18 |