| NPI | 1598522187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95207578) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: CA 95207578) |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: CA 95207578) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95207578) | |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |