| NPI | 1659619625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95033452) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: CA 95033452) |
| 163WR0400X Registered Nurse Rehabilitation (Licence: CA 95033452) | |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2017-10-16 |