NPI | 1770948226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA 544319) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95029088) |
Enumeration Date | 2015-12-29 |
Last Update Date | 2015-12-29 |