| NPI | 1669183489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 95223345) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95223345) |
| 163WG0600X Registered Nurse, Gerontology (Licence: CA 95223345) | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2022-12-13 |