NPI | 1700385150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: CA 95104198) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA 192546) |
Enumeration Date | 2018-02-12 |
Last Update Date | 2018-02-12 |