NPI | 1700540390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA PHN561737) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95244360) |
Enumeration Date | 2021-10-29 |
Last Update Date | 2021-12-10 |