| NPI | 1912157538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse Critical Care Medicine (Licence: CA 566269) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 566269) |
| 163WE0003X Registered Nurse Emergency (Licence: CA 566269) | |
| 163WH0200X Registered Nurse Home Health (Licence: CA 566269) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |