| NPI | 1619675055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95178911) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 95178911) |
| 163WG0600X Registered Nurse, Gerontology (Licence: CA 95178911) | |
| 163WH0200X Registered Nurse, Home Health (Licence: CA 95178911) | |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-09-05 |