| NPI | 1023887494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95394733) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN714510) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2025-05-11 |