NPI | 1962913442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95067832) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: CA 95067832) |
Enumeration Date | 2017-10-23 |
Last Update Date | 2017-10-23 |