| NPI | 1033688585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95355862) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA LVN700558) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2024-05-28 |