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 |