| NPI | 1093184772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95323925) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 268759) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2024-04-25 |