NPI | 1750043378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95296436) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 710056) |
Enumeration Date | 2021-10-11 |
Last Update Date | 2022-11-23 |