| NPI | 1023531050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95223768) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN686311) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2020-07-07 |