NPI | 1659954618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 668709) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9435227) |
Enumeration Date | 2021-04-28 |
Last Update Date | 2021-04-28 |