| NPI | 1013453679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: CA 95069774) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95069774) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2025-08-25 |