NPI | 1760009344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95172657) |
Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: CA 559020) |
Enumeration Date | 2020-06-30 |
Last Update Date | 2020-06-30 |