NPI | 1972006328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95077339) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95077339) |
Enumeration Date | 2018-03-12 |
Last Update Date | 2018-10-16 |