NPI | 1629749387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 620534) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 67786) |
Enumeration Date | 2021-09-22 |
Last Update Date | 2021-09-22 |