| NPI | 1730843624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0400X Registered Nurse, Rehabilitation (Licence: CA 95260258) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 562534) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |